Organization
EDWARD H BESTARD M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH L WELLS (ASSISTANT OFFICE MANAGER)
(949) 661-8817
Entity
Organization
Contact information
Practice address
653 CAMINO DE LOS MARES, 102, SAN CLEMENTE, CA 92673-2808
(949) 661-8817
(949) 661-9033
Mailing address
653 CAMINO DE LOS MARES, 102, SAN CLEMENTE, CA 92673-2808
(949) 661-8817
(949) 661-9033
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G50298
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396857769
INDIVIDUAL NPI
—
Enumeration date
12/09/2010
Last updated
04/24/2012
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